Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1901-2011

Prismaflex System, Catalog Number 107493, Indicated for continuous solute and/or fluid removal in patients...

Gambro Renal Products / initiated 2011-03-14 / Terminated / root cause: software

Gambro Renal Products, Incorporated began a recall of Prismaflex System, Catalog Number 107493, Indicated for continuous solute and/or fluid removal in patients with acute renal failure or fluid overload on . The reason FDA records is "Prismaflex touch screen may become unresponsive during Continuous Renal Replacement Therapy procedure". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1901-2011
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Gambro Renal Products
Product
Prismaflex System, Catalog Number 107493, Indicated for continuous solute and/or fluid removal in patients with acute renal failure or fluid overload.
Product code
KDI Dialyzer, High Permeability With Or Without Sealed Dialysate System
Reason for recall
Prismaflex touch screen may become unresponsive during Continuous Renal Replacement Therapy procedure.
Root cause tag
software
FDA root cause
Software change control
Action
The firm, GAMBRO Renal Products, sent an "URGENT - MEDICAL DEVICE RECALL" letter dated March 14, 2011 to all customers. The letter described the product, problem and actions to be taken. The customers were provided with response procedures to use if the frozen screen problem occurs while using the product. The customers were instructed to closely monitor the return line for potential air and/or clots in the circuit; review the instructions provided in the attached copy of Chapter 5: Troubleshooting, "Softkeys won't work." of the Prismaflex Operators Manual in conjunction with the attached Troubleshooting Checklist; be aware if performing Manual Termination with Blood Return, air detection is not provided, and complete and return the Customer Reply Form via fax to: Regulatory Affairs at 1-866-447-4471 or 303-222-6916, or by email to: [email protected]. If you have any questions or concerns, please contact for Clinical questions: ICON 800-554-1312 (available 24/7) or your local Gambro Representative; for Technical questions: Gambro Customer Support 800-525-2623, option 2 (Available 6:00am to 5:30pm MT, Monday thru Friday).
Quantity in commerce
1300 units
Distribution
Nationwide distribution.
Product codes and lots
All units with Version 3.20 software.